Department of Endocrinology and Academic Center for Thyroid Disease, Erasmus University Medical Center, Rotterdam, Netherlands
In this presentation I will discuss various aspects of hyperthyroidism during pregnancy. First of all, I will discuss that the epidemiology points towards a physiological underlying cause but I will also exhibit the differential diagnoses that should be addressed. Second, I will discuss preconception and gestational management of Graves’ disease, specifically focusing on new concepts regarding antithyroid drug choice, cessation and options in case of antithyroid drug failure. Third, I will focus on the risks related to the pregnancy and the development of the fetus. Finally, I will also discuss fetal assessment during pregnancy using ultrasound, maternal thyroid function and fetal heart rate.